Publication:

A retrospective study of the clinical features of 50 consecutive cases diagnosed to have adenomyosis by histopathology in hysterectomy specimens in a tertiary centre

Background Adenomyosis is characterised by the presence of ectopic endometrium, both glands and stroma deep in myometrium. Myometrial weakness caused by previous surgery or pregnancies, genetic factors, and tamoxifen use has been proposed as some aetiological factors.

Methods Present study aims to study the clinical profile of patients who have histological evidence of adenomyosis in hysterectomy specimens. The records of consecutive patients who had undergone hysterectomy were analysed.

Results The commonest age group affected is 41-50 years and menorrhagia is the predominant symptom.  The preoperative diagnosis of adenomyosis remains poor at around 8%.

Conclusions The age of onset and clinical features of patients should serve as an index for suspecting adenomyosis.